Key result
Better family functioning was significantly associated with better overall health-related quality of life (OR 0.575) among inpatients with coronary heart disease.
Why the study?
Few studies have examined family functioning and health-related quality of life together, and little is known about them among inpatients with coronary heart disease in less developed areas of China.
Cross-Sectional (n=224)
No
Odds Ratio: 0.575 (95% CI 0.4–0.827)
p-value: p=0.003
Inpatients with coronary heart disease in Northwest China experience poorer health-related quality of life if they are older, have lower income, lower education, more severe disease, and less family support.
Supports family functioning screening to flag poor HRQoL risk in CHD inpatients; leaves open causal effects and intervention benefits.
BACKGROUND: A key outcome in coronary heart disease (CHD) is Health Related Quality of Life (HRQoL), and family functioning is important in the management of CHD. But few studies have examined both together, and little is known about them among inpatients with CHD in less developed areas of China. Therefore, this study aimed to assess the HRQoL and family functioning status of inpatients with CHD in Lanzhou from Northwest China, and identify the factors that affect their HRQoL. METHODS: A cross‑sectional study was conducted in 224 CHD inpatients at one major hospital. Sociodemographic data and disease information of CHD inpatients were collected by face-to-face using a structured questionnaire and data were also obtained from patient medical records. HRQoL was measured using the Sickness Impact Profile (SIP). Family functioning was measured using the family APGAR index. Multiple binary logistic regression analysis (MBLRA) was used to explore potential risk factors associated with HRQoL, and Pearson's correlations were used to assess the relationship between family functioning and HRQoL. RESULTS: The overall, physical and psychosocial SIP scores were 25.03 ± 8.52, 18.61 ± 9.90 and 28.08 ± 9.64, respectively. The total family APGAR score was 6.11 ± 2.45. MBLRA found older age, poorer cardiac function and more severe disease were associated with poorer HRQoL, while better family functioning, higher monthly income, and urban living were associated with better HRQoL. Family functioning was weakly to moderately correlated with total and psychosocial HRQoL. CONCLUSIONS: Older and less affluent inpatients with lower educational level, less family support and more severe CHD have poorest quality of life, and health care providers should consider interventions to support them.
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Zhang et al. (2022) conducted a cross-sectional in Coronary heart disease (n=224). Family functioning vs. Poor family functioning was evaluated on Total Sickness Impact Profile (SIP) score (OR 0.575, 95% CI 0.400-0.827, p=0.003). Better family functioning was significantly associated with better overall health-related quality of life (OR 0.575) among inpatients with coronary heart disease.
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